HomeMy WebLinkAboutGLOBAL PAYMENTS INC - INSURANCE CERTIFICATE (4)ACOOR& CERTIFICATE OF LIABILITY INSURANCE
DATE
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THIS CERTIFICATE' IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE I DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL. INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement A,statement on this certificate does not confer rights to the
certificate holder In lieu of such endorSemen s).
PRODUCER
Marsh 8 McLennan Agency, LLC
2000 Brookstone Centre Pkwy
Suite 116
CONT Connie Whitener
PHONE jos 32q C>g71 N 706 576 5607
4aL • cwhitrner 'smithianeir.com
Columbus GA 31904
INSUR S AFFORDING COVERAGE
NAIC 0
INSURER A:. Federal Insurance A++ XV
20281
INSURED 30GLOSALPAYM
Global Payments Inc.INSURER
Attn: Devery Gauthier
INSURER B : Great Northern Insurance A++ XV
20303
C : ACE American Insurance CO A++ XV
22667
3550 Lenox Rd NE Suite 3000
INSURER D:
Atlanta GA 30326
INSURER E:
INSURER
COVERAGES CERTIFICATE NUMBER: 1 R9RR611 R9 REVISION NUMBER -
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE, LISTED BELOW HAVE.BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED_BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
L
TYPE OF INSURANCEADDL
POLICY NUMBER
POLICY EFF
MILIDD
POLICY EXP
MIDD
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADEa OCCUR
36046071
4/11MO
4/1MI
EACH OCCURRENCE
$1,000,000
DAMAUF TO .' .... _ _
j1 000000
MED EXP oneperson)
E 10 000
PERSONAL 8 ADV INJURY
$1 000 000
GEML AGGREGATE LIMIT APPLIES PER:
POLICY Q jECOT Q LOC
OTHER:
GENERAL AGGREGATE
E 2 000 000
PRODUCTS - COMP/OP AGG
E 2 000 ODO
Gen Aim Ca
$100,000,000
B
AUTOMOBILE LIABILITY
ANY AUTO
-011EDULEO
ALL OWNEDMXX
AUTOS AUTOSHIREDAUTOS �OWNED
IXX Hired Com Hired Cog
73614277
4/1/2020
4/1/2021
COMBINED SINGLE LIMIT
$1000000
BODILY INJURY (Per person)
$
BODILY INJURY(Per accident)
$
PROPERTY DMMGEs
I Hired Phy Dm -ACV
$ 1,000 Dods
A
X
UMBRELLA LIAO
EXCESS LIAB
X, OCCUR
CLAIMS -MADE
79894591
411r=
4M2021
EACH OCCURRENCE
$25000000
AGGREGATE
$25000000
DED I X( I RETENTION
$
C
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNavExECUTIVE
OFFICERIMEMBER EXCLUDED? a
(Mandatory In NH)
M yBs nHbe under
DESCRIPTION OF OPERATIONS below
N 1 A
7175=92
71750293
4/112020
4I12020
4I1/2021
411=1
X -
STATUTE E
E.L. EACH ACCIDENT
$ 1,0D0,000
E.L. DISEASE -EA EMPLO
$1 000000
E.L. DISEASE - POLICY LIMIT
I s 1 000 o00
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Addldonal Remarks Schedule, may be attached N mae space Is required)
(AU) Additional Insured per form: 16-02-0292 Commercial Automobile Broad Form Endorsement
(GL) Additional Insured per form: 80-02-2367 Additional Insured Scheduled Person or Organisation
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins
ACCORDANCE WITH THE POLICY PROVISIONS,
Purchasing Division
AUTNORoED REPRESENTATIVE
P.O. Box 580
Fort Collins CO 80522
9)1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD